Unraveling ADHD for the pediatrician

Erasmo Barbante Casella1, Beatriz Borba Casella1

  • 1Instituto da Criança do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.

Jornal De Pediatria
|October 20, 2025
PubMed

Insights

Pediatricians play a crucial role in the early diagnosis and management of Attention-Deficit/Hyperactivity Disorder (ADHD). Prompt identification and coordinated care by pediatricians improve outcomes for children with this neurodevelopmental disorder.

Area of Science:

  • Neurodevelopmental Disorders
  • Pediatric Neurology
  • Child Psychiatry

Background:

  • Attention-Deficit/Hyperactivity Disorder (ADHD) is a complex neurodevelopmental condition.
  • It involves genetic factors and neurobiological alterations, particularly affecting brain circuits.
  • Clinical presentation and comorbidities vary significantly in children.

Purpose of the Study:

  • To review current evidence on ADHD.
  • To highlight the pediatrician's role in diagnosis and care coordination.
  • To inform pediatric practice regarding ADHD management.

Main Methods:

  • A narrative synthesis of contemporary literature was performed.
  • The review focused on pathophysiology, clinical features, diagnosis, and treatment.
  • Evidence relevant to pediatric practice was synthesized.

Main Results:

  • ADHD is multifactorial, with genetic and neurobiological bases.
  • Diagnosis is clinical, requiring standardized criteria and ruling out mimics.
  • Multimodal management includes psychosocial, school-based, and pharmacological approaches.
  • Pediatricians are key for early identification and integrating care teams.

Conclusions:

  • Early pediatrician involvement is vital for effective ADHD management.
  • Proactive care improves prognosis and overall child development.
  • Pediatricians facilitate diagnosis, guidance, and multidisciplinary collaboration.
Abstract

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